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Full-Text Articles in Social and Behavioral Sciences

Effectiveness Of Parent-Led Applied Behavior Analysis At Improving Outcomes For Parents Of Autistic Children, Lindsey Sneed, Doreen Samelson Aug 2022

Effectiveness Of Parent-Led Applied Behavior Analysis At Improving Outcomes For Parents Of Autistic Children, Lindsey Sneed, Doreen Samelson

Journal of Social, Behavioral, and Health Sciences

The current study sought to understand the effect of parent-led applied behavior analyses (ABA), in comparison to practitioner-led applied behavior analysis, on parental stress and parental self-efficacy. To do this, we analyzed secondary data from a large behavioral health provider for individuals with autism spectrum disorder. We conducted a regression analysis to understand the relationship between parental stress and parental self-efficacy and a two-way mixed ANOVA to evaluate if differences existed between parent-led and practitioner-led ABA on parental stress and parental self-efficacy. The regression analysis included parents of 2,276 children with autism spectrum disorder and the comparison analysis of parent-led …


She’S Just Not That Into Me: Sexual Self-Concept Among Heterosexual Men Who Identify As Involuntary Celibates, Kyle J. Justin, Dustin K. Shepler, Joseph R. Kinel Jun 2022

She’S Just Not That Into Me: Sexual Self-Concept Among Heterosexual Men Who Identify As Involuntary Celibates, Kyle J. Justin, Dustin K. Shepler, Joseph R. Kinel

Journal of Social, Behavioral, and Health Sciences

Emerging adult men experiencing involuntary celibacy are increasingly self-identifying as “incels.” Popular culture has painted a negative view of incel men. Nonetheless, almost no research has addressed the experiences of incels or systematically compared incels to their peers to identify whether actual differences exist in psychological functioning. In this study, we surveyed a total of 129 emerging adult men (75 incels and 54 non-incels) to determine if and how incels differ from their non-incel peers. MANOVA results indicated that incels disproportionately struggled with low self-esteem, social anxiety, difficulty approaching women, and optimism about partnered sexual experiences compared to their non-incel …


Differences In Attachment, Resilience, And Negative Affect In Non-Treatment-Seeking And Treatment-Seeking Ems Professionals, Jose Carbajal, Warren Ponder, Lauren Malthaner, Kathryn Shahan, Katelyn Jetelina, Jeanine Galusha, Donna Schuman Jun 2022

Differences In Attachment, Resilience, And Negative Affect In Non-Treatment-Seeking And Treatment-Seeking Ems Professionals, Jose Carbajal, Warren Ponder, Lauren Malthaner, Kathryn Shahan, Katelyn Jetelina, Jeanine Galusha, Donna Schuman

Journal of Social, Behavioral, and Health Sciences

Emergency medical service (EMS) professionals have a stressful vocation, inarguably worsened by the COVID-19 pandemic, which affects their mental health and makes them a vulnerable population warranting further study. However, to date, no published research has compared non-treatment and treatment-seeking EMS professionals in the same greater metropolitan area. In this study, we examined differences and similarities among the non-treatment-seeking EMS professionals (n = 57) from a local EMS agency and treatment-seeking EMS personnel (n = 53) from a non-profit community treatment center on six assessment instruments that measure attachment avoidance, attachment anxiety, resilience, depression, generalized anxiety, posttraumatic stress …


Pandemic Issues: Faculty Value Alignment And Burnout, Eu Gene Chin, Brooke Hildebrand Clubbs Apr 2022

Pandemic Issues: Faculty Value Alignment And Burnout, Eu Gene Chin, Brooke Hildebrand Clubbs

Journal of Educational Research and Practice

Burnout among faculty members impacts physical, cognitive, and emotional functioning and has negative socioeconomic consequences downstream. Prior to the pandemic, faculty members were already reporting high levels of burnout, which is characterized by depersonalization, emotional exhaustion, and a lack of personal accomplishment. Previous research reported that value incongruence functions as one of the strongest predictors of depersonalization (and subsequently) turnover intention. This study provides a snapshot of the value alignment and burnout of faculty at a regional public university in the months following the pandemic-induced pivot to remote learning. Results from our survey of faculty members (N = 58) suggest …


The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin Jan 2022

The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the relationship between racial discrimination and anger, stress, and obesity. The stress-disease model provided a theoretical perspective of the biological, psychological, and social pathways from stress. Past research regarding the correlation between racial discrimination, anger, stress, and obesity reported a possible connection, but results have been mixed. This research expanded upon existing literature that proposed that blatant or subtle experiences of racial discrimination are pathways to mental and physical health consequences. The hypothesis was that there was a significant relationship between racial discrimination and the levels of stress, anger, and obesity. Racial …


Expectations And Reality: Post Deployment Reintegration Through The Lived Experiences Of Military Spouses, Michele Marie Brown Jan 2022

Expectations And Reality: Post Deployment Reintegration Through The Lived Experiences Of Military Spouses, Michele Marie Brown

Walden Dissertations and Doctoral Studies

This phenomenological study aims to understand how post-deployment reintegration impacted the quality of life, functionality, adjustment, and levels of distress among military spouses. Additionally, this study analyzed data collected from 11 individual military spouse responses to gain firsthand insight into the challenges of post-deployment reintegration and the resiliency factors that influence stability. While extensive research existed on the challenges associated with the hardships of physical distance and absence, there was limited research on the impact of post-deployment reintegration on the overall quality of life of a military spouse. Three theories explored the extremely individualized experiences of military spouses’ post-deployment reintegration. …


Perceived Social Support And Anxiety Among Informal Caregivers Of Individuals With Dementia, Latonya Cofield Jan 2022

Perceived Social Support And Anxiety Among Informal Caregivers Of Individuals With Dementia, Latonya Cofield

Walden Dissertations and Doctoral Studies

AbstractMany individuals who are diagnosed with some form of dementia are cared for by informal caregivers. Past research has indicated many of the caregivers have potential for encountering caregiver distress leading to physical and mental health deterioration. The purpose of this study was to examine the impact perceived social support may have on anxiety among the informal caregivers. Using the transactional model of stress and coping, this quantitative study examined the relationship between perceived emotional/informational social support, instrumental social support, gender, and anxiety among informal caregivers caring for individuals diagnosed with dementia. A correlational research design and the multiple linear …


Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt Jan 2022

Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt

Walden Dissertations and Doctoral Studies

The Latino/a/x population in the United States continues to increase as does the need for mental health professionals who are bilingual and knowledgeable on multicultural issues. Spanish is the native language spoken in approximately 13% of the households in the United States, with 36% of Spanish-speakers seeking mental health treatment. Research on therapists serving Latino/a/x clients indicated that therapists struggled to provide culturally sensitive and linguistic appropriate interventions. While therapists’ challenges and experiences have been explored, little is known on the therapeutic experiences of Latino/a/x former clients. The purpose of this interpretative phenomenological analysis was to explore the therapeutic experiences …


Posttraumatic Growth Following Critical Incident Exposure For Urban Firefighters, Deirdre Smith Jan 2022

Posttraumatic Growth Following Critical Incident Exposure For Urban Firefighters, Deirdre Smith

Walden Dissertations and Doctoral Studies

Firefighters are often exposed to critical/traumatic incidents. Regular exposure to critical/traumatic incidents has the potential to cause negative psychological problems among this population, though there is also a likelihood that firefighters can experience a positive effect such as posttraumatic growth (PTG) as a result of critical incident exposure. The purpose of this qualitative phenomenological study was to explore the lived experiences of PTG for urban firefighters following exposure to work-related traumatic events. The phenomenon of PTG provided the conceptual framework for the study. Data were collected from semistructured telephone interviews with eight urban firefighters. Findings from coding and thematic analysis …


The Efficacy Of Juvenile Treatment Program Services As Evidenced By Posttreatment Re-Offenses, Michelle R. Valenzuela Jan 2022

The Efficacy Of Juvenile Treatment Program Services As Evidenced By Posttreatment Re-Offenses, Michelle R. Valenzuela

Walden Dissertations and Doctoral Studies

AbstractThe determination of whether juvenile intervention programs are effective in the reduction of future delinquency has been an ongoing research concern among scholars for over a century. Researchers have established that intervention programs are helpful for some juveniles but have not determined if intervention treatment outcomes continued beyond adolescence. The purpose of this quantitative study was to address the efficacy of services provided within juvenile intervention programs. This study addressed these gaps in previous research, focusing on the services provided within the intervention program and outcomes of continued delinquent behaviors beyond 3 years using multiple regression analysis. Social control theory …


Self-Efficacy And Caseload As Predictors Of School Counselor Burnout, Marcos G. Casares Jan 2022

Self-Efficacy And Caseload As Predictors Of School Counselor Burnout, Marcos G. Casares

Walden Dissertations and Doctoral Studies

School counselors are faced with many job duties, including supporting students’ academic, career, and emotional needs; maintaining these duties can increase stress and lead to burnout. The need to provide high-quality services to students, along with a high caseload, may be associated with the self-efficacy beliefs of school counselors and the possibility of burnout. However, there has been little to no interest in researching the subject of burnout, and its causes and outcomes concerning school counselors. The purpose of this quantitative study was to fill this gap in the literature by examining the relationship between school counselor burnout, specifically, the …


Effects Of Superflex Curriculum On Social Skills Of Children With Autism, Charli Elaine Doyle Jan 2022

Effects Of Superflex Curriculum On Social Skills Of Children With Autism, Charli Elaine Doyle

Walden Dissertations and Doctoral Studies

Applied behavior analysis (ABA) is considered an applied science under the umbrella of behavior analysis and was accepted into the mainstream science in the mid-1900s. An increase in the prevalence of autism gave rise to the need for evidence-based social skills curricula. Previous research indicated many children respond well to video modeling and positive reinforcement. However, literature on social curricula for children aged 7 to 10 years in a clinical setting versus a school setting was limited. The purpose of this quantitative study with a single-subject design was to examine the effectiveness of Superflex, a superhero social thinking curriculum, on …


The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke Jan 2022

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …


Parenting Practices And The Intergenerational Effect Concerning Oppositional Defiant Disorder In Children, David Little Jan 2022

Parenting Practices And The Intergenerational Effect Concerning Oppositional Defiant Disorder In Children, David Little

Walden Dissertations and Doctoral Studies

Children whose oppositional defiance behavior (ODD) is not amended during their formative years could contribute to their possible growth into a juvenile delinquent. Parents must be mindful of the impact of their childrearing practices, as most parents emulate family traditions considered adequate by their parents and grandparents. The reoccurrence of generational parenting practice is professionally referenced as the "intergenerational effect." This correlational study attempted to establish relationships between ODD, parenting practices, and the intergenerational effect. Using Bowen's family system theory, this study emphasized how the family structure could differentially shape adolescent emotional function and social development. Archival data results from …


Factors Influencing Burnout Rates Among Mental Health Professionals, Vanessa Ann Smith Jan 2022

Factors Influencing Burnout Rates Among Mental Health Professionals, Vanessa Ann Smith

Walden Dissertations and Doctoral Studies

AbstractThe responsibility of mental health providers to care for the sick and their families throughout the COVID-19 pandemic placed mental health providers at a considerably higher risk for burnout than the general population. Despite the increasing burnout rates among mental health providers during the pandemic, no scholars have yet examined how the COVID-19 pandemic affected burnout among mental health providers. Therefore, the purpose of this quantitative, correlational survey study was to examine the factors that contributed to burnout among psychologists during the COVID-19 pandemic in the United States. Maslach’s theory of burnout was used as the theoretical framework to explore …


Eye Movement Desensitization And Reprocessing As An Effective Treatment Approach With Traumatized Youth, Khilia Tyese Giacobone Jan 2022

Eye Movement Desensitization And Reprocessing As An Effective Treatment Approach With Traumatized Youth, Khilia Tyese Giacobone

Walden Dissertations and Doctoral Studies

Trauma is anything that impacts an individual’s ability to cope. Eye Movement Desensitization and Reprocessing (EMDR) is an evidenced-based treatment for many psychological disorders resulting from traumatic stress; however, there is limited research supporting use with children and adolescents. The purpose of this quantitative study was to evaluate the relationship between EMDR treatment on the reduction of trauma symptoms in children and adolescents. This study was grounded in Adaptive Information Processing (AIP) theory. The research questions explored the relationship between EMDR as an effective treatment for youth who have experienced trauma. The variables considered the pre- and post-test scores on …


Online Disclosure Boundaries And Marital Quality Among Facebook Users, Dominique M. Jones-King Jan 2022

Online Disclosure Boundaries And Marital Quality Among Facebook Users, Dominique M. Jones-King

Walden Dissertations and Doctoral Studies

AbstractCurrent marital and social media research has revealed that married couples are often unsuspecting of the negative marital ramifications associated with impulsive disclosure to Facebook friends, poor disclosure boundaries, and inappropriate online emotional affairs until the affair has been revealed and the emotional detachment has already incited a legal divorce. The purpose of this study was to examine the correlation, if any, between online intimate disclosure with another sex, online disclosure boundaries, and marital quality among Facebook users. The theoretical framework for this study was the social penetration theory. A quantitative, nonexperimental correlational research design was used. A total of …


Resilience As A Mediating Factor In Depression And Posttraumatic Stress For Hongkongers Experiencing Political Oppression, Sairong Lu Jan 2022

Resilience As A Mediating Factor In Depression And Posttraumatic Stress For Hongkongers Experiencing Political Oppression, Sairong Lu

Walden Dissertations and Doctoral Studies

AbstractPolitical oppression has been associated with mental health issues in refugee populations. The goal of this research was to measure the correlational relationship between political oppression, levels of depressive and trauma symptoms, and resilience as a mediating variable among Hongkongers. Three models of resilience formed the theoretical framework for this study. The mediating model was applied to determine if resilience mediated the relationship between political oppression and levels of depressive and trauma symptoms. The Beck Depression Inventory II, the PTSD-Checklist-Civilian, the Oppression Questionnaire, and the Resilience Scale for Adults were used to measure levels of depressive and trauma symptoms, the …


Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass Jan 2022

Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass

Walden Dissertations and Doctoral Studies

Depression and anxiety disorders are two of the most frequently reported mental healthproblems for adolescents entering Residential Treatment Centers (RTCs). Many adolescents in RTCs also have a higher rate of traumatic experiences than their peers. Traumatized children frequently develop mental illness disorders of depression and anxiety. Based on the theoretical foundations provided by attachment theory and social cognitive theory, this pilot study, using secondary data, observed the relationship between exercise participation, depression, trauma, and anxiety for 11 youth in an upper Midwest RTC. Adolescents with higher initial depression and anxiety scores tended to exercise less during RTC than those with …


Predictors Of Direct Support Professional Turnover At Residential Facilities For Intellectually–Developmentally Disabled Individuals, Claudio A. Lugo Jan 2022

Predictors Of Direct Support Professional Turnover At Residential Facilities For Intellectually–Developmentally Disabled Individuals, Claudio A. Lugo

Walden Dissertations and Doctoral Studies

Turnover continues to be a problem for residential settings that provide services to intellectually–developmentally disabled (IDD) individuals in the United States. The annual turnover rate in residential facilities serving IDD individuals is 45%. Close to 35% of direct support professionals (DSPs) leave their positions in fewer than 6 months and 22% within 6–12 months. Previous studies of healthcare nurses working in hospitals, nursing homes, and other healthcare settings have found that different factors, such as stress, autonomy, or lack of recognition, contribute to turnover. These factors have not been studied in DSPs working in residential facilities. This quantitative, multiple logistic …


Maternal Attachment And The Role Of Disparate Biology In Lesbian Co-Mothers, Annisha J. Peets Jan 2022

Maternal Attachment And The Role Of Disparate Biology In Lesbian Co-Mothers, Annisha J. Peets

Walden Dissertations and Doctoral Studies

Lesbian co-mothers represent a unique population whose alternative family structure has received additional attention resulting from legal changes permitting same-sex marriage. Challenging the heteronormative status quo through lesbian mothering offers numerous facets of familial relationship development and dynamics worth exploring. Prior research has focused on exploring how adoptive lesbian co-mothers navigate the emotional connections to their children; however, it has not adequately explored how lesbian couples negotiate unequal biological ties to their children and the extent to which biology influences which mother forms a primary bond to the child. This study explored the disparate role of biology and any influences …


Experiences With Online Video Conferencing Therapy Among Former Military Service Members With Ptsd, Lanier Wells Jan 2022

Experiences With Online Video Conferencing Therapy Among Former Military Service Members With Ptsd, Lanier Wells

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) has become a major mental health concern for veterans transitioning to civilian life. This qualitative phenomenological research study focused on interviewing 20 former military service members diagnosed with PTSD to understand their experiences related to online video conferencing therapy. The theoretical foundation of this study was guided by Beck’s cognitive behavioral therapy (CBT) model. The open-ended research questions examined veterans diagnosed with PTSD perceptions, attitudes, and opinions related to online video conferencing therapy, prior to and during the Covid-19 pandemic. Semi structured interview questions and a demographic questionnaire was used to collect data from participants who …


Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen Jan 2022

Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen

Walden Dissertations and Doctoral Studies

The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …


Investigation Of The Relationship Between Interoception, Cognitive Flexibility, And Posttraumatic Growth, Sheaneh Sattari Jan 2022

Investigation Of The Relationship Between Interoception, Cognitive Flexibility, And Posttraumatic Growth, Sheaneh Sattari

Walden Dissertations and Doctoral Studies

Experiencing a traumatic event is a common occurrence within the world population. Researchers have found post-traumatic growth (PTG) occurs in individuals who grow, adapt, and change after experiencing a trauma. Through the lens of adaptation and neuroplasticity frameworks, cognitive flexibility and interoception can be regarded as forms of change and growth. However, scholarly literature was deficient in the investigation of the possible associations between interoception, cognitive flexibility, and PTG in individuals with histories of trauma. The purpose of this nonexperimental cross-sectional correlation study was to find the combined effect and relative importance of cognitive flexibility and interoception in accounting for …


The Influence Of Parents' Pathological Social Media Engagement And Parenting Style On Delinquent Behavior Among Mexican American Adolescents, Martha Lilia Varela-Rios Jan 2022

The Influence Of Parents' Pathological Social Media Engagement And Parenting Style On Delinquent Behavior Among Mexican American Adolescents, Martha Lilia Varela-Rios

Walden Dissertations and Doctoral Studies

The pathological use of social media is a growing problem for diverse groups today. For parents, the resulting detachment from their adolescent children, compromised communication, and limited monitoring of children's activities appear highly correlated with increased adolescent delinquency. The purpose of this quantitative correlational study was to examine the predictive relationships between Mexican American parents’ pathological use of social media and their adolescent's delinquent behavior and between these parents’ parenting styles and their adolescent's delinquent behavior. Unhealthy parenting styles have also been associated with delinquency in adolescents. The theoretical foundation of the study was based on Bowlby’s attachment theory and …


Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit Jan 2022

Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit

Walden Dissertations and Doctoral Studies

Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …


Exposure Response Prevention For Adolescents With High-Functioning Autism And Social Anxiety, Elisha Jones Jan 2022

Exposure Response Prevention For Adolescents With High-Functioning Autism And Social Anxiety, Elisha Jones

Walden Dissertations and Doctoral Studies

Anxiety disorders are the most common comorbid mental health condition seen in individuals with neurodevelopmental disorders. This study was an exploration of the benefits of exposure and response prevention (ERP) for high-functioning adolescents with autism and comorbid social anxiety. The research problem was the lack of qualitative description of trained clinicians’ experiences of ERP delivery to high-functioning adolescents with autism and social anxiety. Data for this study were collected through semi structured interviews with six ERP clinicians who had experience in practicing ERP with this population. Analysis of the data revealed the following four core themes: (a) professional recommendations for …


The Experience Of Affection Expressed Between Black Male Friends, David Manning Jan 2022

The Experience Of Affection Expressed Between Black Male Friends, David Manning

Walden Dissertations and Doctoral Studies

AbstractAffectionate communication supports the maintenance and sustenance of long-term relationships for the purposes of survival and procreation. Friendship has been identified as one of the most significant relationships throughout an individual’s lifespan, supporting improved mental and physical health. This qualitative study explored the expressions of affection experienced within Black male friend dyads. Two research questions were posed, what is the experience of Black men receiving and giving affection to other Black men within the context of friendships? Also, are the affectionate needs of Black men being met within their Black male friendships? Affectionate exchange theory and social learning theory were …


Law Enforcement Officers’ Lived Experiences With Male Victims Of Intimate Partner Violence, Selena Sanchez Jan 2022

Law Enforcement Officers’ Lived Experiences With Male Victims Of Intimate Partner Violence, Selena Sanchez

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects every race, culture, orientation, and sex. However, researchers focus largely on women as victims of IPV by men. Unfortunately, social and gender norms contribute to the focus on women as victims while adult heterosexual men remain underreported, underrepresented, and viewed predominantly as perpetrators. For example, 91% of men were arrested when IPV was reported, and officers responded to the call. This was referred to as gendered stigmatization. This transcendental qualitative phenomenological approach focused on the lived experiences of law enforcement officers who were called to the scene where IPV had occurred or was occurring, and …


Examining The Utility Of Auditory Processing Tests In Clinical Neuropsychology, Behnaz Sarlak Jan 2022

Examining The Utility Of Auditory Processing Tests In Clinical Neuropsychology, Behnaz Sarlak

Walden Dissertations and Doctoral Studies

Memory loss has been a concern in patients with neurodegenerative disease, as it can cause cognitive problems such as speech and language issues. Clinicians need to use reliable, assessable, noninvasive, repeatable, and inexpensive tools to diagnose memory impairment. There is a gap in the literature on whether specific cognitive tests provide valid, reliable, cost and time-effective methods for screening for dementia. The purpose of this quantitative correlational study was to examine if the Seashore, the Speech-Sound Perception Test, the SCAN-A test, Logical Memory, Verbal Paired Associates, and Digit Span Test can predict whether an individual has been diagnosed with Alzheimer’s …